The major findings and recommendations of a study to develop a comprehensive plan for library services for the blind and physically handicapped of Pennsylvania are presented. The study was undertaken at the request of the Pennsylvania State Library, and was financed by funds provided through Title IVB of the Library Services and Construction Act. Findings and recommendations in the report are based on a broad-based study of law and policies, standards, clientele needs, program content, organizational structure, and finance. Two special inquiries were undertaken for the project: (1) a detailed examination of clientele records of the Regional Libraries in December, 1968, for the purpose of obtaining information on the numbers, kinds, and distribution of library patrons, and (2) a questionnaire survey of more than 2,000 public libraries, hospitals, schools, nursing homes, and welfare agencies in Pennsylvania, Delaware and West Virginia to obtain information on clientele needs and agency resources. The data from those surveys are summarized in a group of tables in the Appendix to this report. (Author)